OBJECTIVE: Depression has been reported to occur frequently after stroke. The aim of the study was to assess the validity of questionnaire measures for screening for depression after stroke. DESIGN: Cross-sectional correlational study between questionnaire measures of mood and psychiatric interview. SETTING: Hospital and community. PARTICIPANTS: Stroke patients were recruited from hospital wards and from a randomized controlled trial of cognitive behavioural therapy. MAIN MEASURES: Beck Depression Inventory, Wakefield Depression Inventory, General Health Questionnaire 28 and Schedules for Clinical Assessment in Neuropsychiatry. RESULTS: Poor agreement was found between psychiatric diagnosis and questionnaire measures of mood. The sensitivity of the questionnaire measures was high, but specificity was low. No cut-off points with satisfactory sensitivity and specificity could be identified from ROC curves. CONCLUSIONS: Although questionnaire assessments of depression provide a satisfactory screening method, specificity values are too low to provide a basis for the diagnosis of depression. Measures need to be developed with higher specificity to facilitate screening for depression after stroke.
RCT Entities:
OBJECTIVE:Depression has been reported to occur frequently after stroke. The aim of the study was to assess the validity of questionnaire measures for screening for depression after stroke. DESIGN: Cross-sectional correlational study between questionnaire measures of mood and psychiatric interview. SETTING: Hospital and community. PARTICIPANTS: Strokepatients were recruited from hospital wards and from a randomized controlled trial of cognitive behavioural therapy. MAIN MEASURES: Beck Depression Inventory, Wakefield Depression Inventory, General Health Questionnaire 28 and Schedules for Clinical Assessment in Neuropsychiatry. RESULTS: Poor agreement was found between psychiatric diagnosis and questionnaire measures of mood. The sensitivity of the questionnaire measures was high, but specificity was low. No cut-off points with satisfactory sensitivity and specificity could be identified from ROC curves. CONCLUSIONS: Although questionnaire assessments of depression provide a satisfactory screening method, specificity values are too low to provide a basis for the diagnosis of depression. Measures need to be developed with higher specificity to facilitate screening for depression after stroke.
Authors: Nicholas Meader; Alex J Mitchell; Carolyn Chew-Graham; David Goldberg; Maria Rizzo; Victoria Bird; David Kessler; Jon Packham; Mark Haddad; Stephen Pilling Journal: Br J Gen Pract Date: 2011-12 Impact factor: 5.386
Authors: Kadri Suija; Ulla Rajala; Jari Jokelainen; Timo Liukkonen; Pirjo Härkönen; Sirkka Keinänen-Kiukaanniemi; Markku Timonen Journal: Scand J Prim Health Care Date: 2012-10-31 Impact factor: 2.581
Authors: F M P Lucieer; R Van Hecke; L van Stiphout; S Duijn; A Perez-Fornos; N Guinand; V Van Rompaey; H Kingma; M Joore; R van de Berg Journal: J Neurol Date: 2020-10-08 Impact factor: 4.849
Authors: Yeong Hwan Ryu; Seo Young Kim; Tae Uk Kim; Seong Jae Lee; Soo Jun Park; Ho-Youl Jung; Jung Keun Hyun Journal: J Clin Med Date: 2022-04-18 Impact factor: 4.964